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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(1)

Prognostic utility of multipoint nutritional screening for hospitalized patients with acute decompensated heart failure

https://doi.org/10.18999/nagjms.83.1.93
https://doi.org/10.18999/nagjms.83.1.93
205cc1b2-c03f-479a-94a6-36ec9029cda4
名前 / ファイル ライセンス アクション
09_Takikawa.pdf 09_Takikawa.pdf (2.1 MB)
Item type itemtype_ver1(1)
公開日 2021-05-31
タイトル
タイトル Prognostic utility of multipoint nutritional screening for hospitalized patients with acute decompensated heart failure
言語 en
著者 Takikawa, Tomonobu

× Takikawa, Tomonobu

en Takikawa, Tomonobu

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Sumi, Takuya

× Sumi, Takuya

en Sumi, Takuya

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Takahara, Kunihiko

× Takahara, Kunihiko

en Takahara, Kunihiko

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Ohguchi, Shiou

× Ohguchi, Shiou

en Ohguchi, Shiou

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Oguri, Mitsutoshi

× Oguri, Mitsutoshi

en Oguri, Mitsutoshi

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Ishii, Hideki

× Ishii, Hideki

en Ishii, Hideki

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Murohara, Toyoaki

× Murohara, Toyoaki

en Murohara, Toyoaki

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 acute heart failure
キーワード
主題Scheme Other
主題 multipoint
キーワード
主題Scheme Other
主題 nutritional assessment
キーワード
主題Scheme Other
主題 CONUT score
内容記述
内容記述 This study aimed to evaluate the impact of serial changes in nutritional status on 1-year events including all-cause mortality or rehospitalization owing to heart failure (HF) among hospitalized patients with acute decompensated HF (ADHF). The study subjects comprised 253 hospitalized patients with ADHF. The controlling nutritional status (CONUT) score was assessed both at hospital admission and discharge. The subjects were divided into three groups according to nutritional status using CONUT score: normal (0 and 1), mild risk (2–4), and moderate to severe risk defined as malnutrition (5–12). We observed nutritional status was improved or not. The incidence of malnutrition was 30.4% at hospital admission and 23.7% at discharge, respectively. Malnutrition was independently associated with 1-year events among hospitalized patients with ADHF. Presence or absence of improvement in nutritional status was significantly associated with 1-year events (P < 0.05), that was independent of percentage change in plasma volume in multivariate Cox regression analyses. We determined a reference model, including gender and estimated glomerular filtration rate, using multivariate logistic regression analysis (P < 0.05). Adding the absence of improvement in nutritional status during hospitalization to the reference model significantly improved both NRI and IDI (0.563, P < 0.001 and 0.039, P = 0.001). Furthermore, malnutrition at hospital discharge significantly improved NRI (0.256, P = 0.036) In conclusion, serial changes in the nutritional status evaluated on the basis of multiple measurements may provide more useful information to predict 1-year events than single measurement at hospital admission or discharge in hospitalized patients with ADHF.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.1.93
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/831.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 1, p. 93-105, 発行日 2021-02
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